Bucca Dental Llc is a renowned Dental office in Minneapolis, Minnesota. It is located at 1508 E Lake St, Minneapolis, MN and its contact number is 612-724-1717. The authorized person for Bucca Dental Llc is Dr. Edgar Fernando Mantilla
who is Ceo of the place and their contact number is 612-724-1717. The primary license number for Bucca Dental Llc is D11889 (Dental) in Minnesota.
Bucca Dental Llc Office is a healthcare facility where dedicated dental team composed of licensed professionals, including dentists (DDS or DMD), dental hygienists, dental assistants, and administrative staff (manage appointments, billing, and patient records) provides preventive, diagnostic, and therapeutic oral health services like oral exams and X-rays, fillings, fluoride treatments, teeth cleanings, implants, crowns, bridges, tooth extractions, root canals, and cosmetic procedures such as teeth whitening, braces and veneers to patients through outpatient care.
Complete Profile:
Bucca Dental Llc Office speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Bucca Dental Llc |
| Specialization: | Dentistry |
| Address: | 1508 E Lake St, Minneapolis,
Minnesota, 55407-1720 |
| Phone: | 612-724-1717 |
| Fax: | 612-724-3114 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this Office are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Edgar Fernando Mantilla |
| Position: | Ceo |
| Contact Number: | 612-724-1717 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Bucca Dental Llc Office are as mentioned below.
| NPI Number: | 1750774428 |
| NPI Enumeration Date: | 05 Mar, 2015 |
| NPI Last Update On: | 05 Mar, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bucca Dental Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dental | D11889 | Minnesota | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Bucca Dental Llc
1508 E Lake St,
Minneapolis, Minnesota |
| Zip: | 55407-1720 |
| Phone Number: | 612-724-1717 |
| Fax Number: | 612-724-3114 |
Patients can reach Bucca Dental Llc at
1508 E Lake St, Minneapolis, Minnesota or can
call to book an appointment on 612-724-1717.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 March, 2026.